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General NPI Number Information
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NPI Number | 1538967799
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Entity Type | Individual
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Provider Name | PAUL DAVID NEVINS SELVADURAI MD
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT 4551515
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 713-563-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LAKE FOREST DR
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1304
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Country | US
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Telephone | 617-691-6666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | PENDING
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License Number State | TX
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